Causes

Tendinopathy is generally caused by overuse of a muscle-tendon unit. Over time, the strain on the tendon causes structural changes within the tendon.Overuse of the Achilles tendon can occur with activities such as:

Increased age—normal wear and tear can make the tendon more likely to become injured

Symptoms

Symptoms of tendinopathy may include:

Tenderness—usually just above the heel bone and often more noticeable in the morning

Stiffness that gradually eases as the tendon is warmed-up

Pain after activity that gradually worsens

Pain along the tendon during and/or after running

Swelling in the area of the Achilles tendon

Pain at the back of the ankle

Diagnosis

You will be asked about your symptoms and exercise habits. A physical exam will be done. A diagnosis will be made based on the exam and history.Images of the bones and tendons may be taken. This can be done with:

Treatment

Tendinopathy and the associated pain may take months to resolve. It can be frustrating, but it is important to follow through with the advised treatment.

Rest and Ice

Rest and ice are the first steps. Take a break from any activity that causes pain. Switch to activities that do not put stress on the tendon. Avoid uphill and irregular surfaces. Swimming is a good option. When the pain has gone, gradually increase your activity levels.Place ice or an ice pack on the area for 15-20 minutes at a time. This can help the first few days after the injury. It may also help after activity, if you have activity-related pain.

Foot and Ankle Support

You may be advised to wear a shoe insert. It will place your foot in the correct position for walking and running.Taping your ankle during activity may also help. Talk to your doctor or a physical therapist before using this option. They can show you the proper way to wrap your foot.

Physical Therapy

More severe or recurring injuries may need physical therapy. Therapy may include:

Common disorders of the achilles tendon. American College of Foot and Ankle Surgeons Foot Health Facts website. Available at: http://www.foothealthfacts.org/footankleinfo/achilles-tendon.htm. Accessed February 28, 2014.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Exercise during pregnancy has been associated with many benefits for mom and baby. This review supports the trend and finds that even one day of purposeful activity per week may reduce the need for cesarean birth.

This content is reviewed regularly and is updated when new and relevant evidence is made available.
This information is neither intended nor implied to be a substitute for professional medical advice.
Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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